Maintenance of quality in a small cardiac surgical unit

Heart, Lung & Circulation
John Ichsan TanDavid Roderick Maclennan

Abstract

The purpose of this study was to evaluate the outcome of cardiac surgery at Allamanda Hospital which is a small private hospital carrying out less than 100 operations per year. Data on patients undergoing cardiac surgery since 2002 were prospectively entered into a database. An analysis of this data is presented and compared with national and international benchmarks for results from larger national and international cardiac surgery units. From October 2002 to March 2007, there were 360 patients who underwent cardiac surgery in a small private cardiothoracic surgical unit (average of 80 patients per year). The average logistic EuroSCORE, Cleveland Clinic and Parsonnet Scores for the patients were 13%, 5.7 and 13.4, respectively. The mean logistic EuroSCORE observed in this study of 13% was substantially higher than those of other published series and institutions. The Allamanda results were compared with those from the European database (EuroSCORE), the STS and the Victorian National Cardiac Surgery Database. The overall observed mortality at Allamanda of 7.5% was lower than predicted by the mean logistic EuroSCORE of 13%. In comparison with the Victorian database, there was no significant difference in mortality for low-risk (...Continue Reading

References

Dec 24, 1987·The New England Journal of Medicine·R W DuboisR H Brook
Aug 24, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·S A NashefR Salamon
Apr 25, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·H J GeisslerE R de Vivie
Jul 10, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Samer A M NashefUNKNOWN EurpSCORE Project Group
Dec 15, 2005·Heart, Lung & Circulation·A W Gale
Jan 20, 2006·European Heart Journal·Johan NilssonJohan Brandt
Feb 14, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Cheng-Hon YapJulian A Smith
Oct 26, 2006·The Annals of Thoracic Surgery·Victor Parsonnet

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Citations

Aug 10, 2013·Heart, Lung & Circulation·Ashutosh HardikarJulian Smith
Feb 1, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sabrina SiregarLex A van Herwerden

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